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NPI Code Detail

MEDICARE: ATASCOSA HEALTH CENTER, INC.

MEDICARE: ATASCOSA HEALTH CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1083240816
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATASCOSA HEALTH CENTER, INC.
Provider Business Mailing Address
First Line : 310 W OAKLAWN RD
Second Line :
City : PLEASANTON
State : TX
Zip : 78064-4033
Country : US
Telephone Number : 830-569-8940
Fax Number : 830-224-6905
Provider Business Practice Location Address
First Line : 757 S PANNA MARIA AVE
Second Line :
City : KARNES CITY
State : TX
Zip : 78118-3808
Country : US
Telephone Number : 830-780-3100
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MONTY SMALL
Credential : CMPE
Telephone Number : 830-569-8940
Provider Enumeration Date : 03/12/2020
Last Update Date : 08/28/2025

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Directions to “ATASCOSA HEALTH CENTER, INC. ” Practice Location

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